Jacob Alexander Walton, DPT | |
100 Anna Goode Way, Suffolk, VA 23434-9236 | |
(757) 923-5500 | |
Not Available |
Full Name | Jacob Alexander Walton |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 100 Anna Goode Way, Suffolk, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942869821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT872443 (District Of Columbia) | Secondary |
225100000X | Physical Therapist | 2305213728 (Virginia) | Primary |
Provider Name | 360 Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932430949 PECOS PAC ID: 1355237645 Enrollment ID: O20040224000822 |
Mailing Address | Practice Location Address |
---|---|
Jacob Alexander Walton, DPT 984b Laskin Rd, Virginia Beach, VA 23451-3905 Ph: (757) 395-6900 | Jacob Alexander Walton, DPT 100 Anna Goode Way, Suffolk, VA 23434-9236 Ph: (757) 923-5500 |
Seth D. Myers, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2012 Meade Pkwy, Suffolk, VA 23434 Phone: 757-934-3366 Fax: 757-539-2322 | |
Carolyn M Carty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2012 Meade Pkwy, Suffolk, VA 23434 Phone: 757-934-3366 Fax: 757-539-2322 | |
Sophie Hoy, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Burnetts Way Ste 230, Suffolk, VA 23434 Phone: 757-942-2022 | |
Katelyn Sidoti, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Burnetts Way Ste 230, Suffolk, VA 23434 Phone: 757-942-2022 | |
Janay Dockery, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 150 Burnetts Way Ste 230, Suffolk, VA 23434 Phone: 757-942-2022 | |
Mrs. Krista C. Stirling, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Anna Goode Way, Suffolk, VA 23434 Phone: 757-539-5797 | |
Quintin S. Lewis, PT, DPT, CMTPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2007 Meade Pkwy, Suffolk, VA 23434 Phone: 757-539-6300 Fax: 757-539-0704 |